13 results
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Therapy • Post-Endoscopy ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #management ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... SCVMCMed #Lower #GIBleed ... #LGIB #Differential ... #Diagnosis #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Pre-Endoscopy Management ... within 24 hours Post-Endoscopy ... NonVariceal #Upper #GIBleed ... #management #gastroenterology ... #UGIB
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... 101 - Post-Banding ... Regarding Variceal Bleed ... #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
- Diagnosis and ... Management Summary ... imaging (anatomy) POST-ENDOSCOPY ... #Diagnosis #Management ... #treatment #endoscopy
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... esophageal variceal bleed ... =0.53 • Endoscopic ... #varices #management ... ebm #evidence #gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
infection up to 10w post-ABx ... mg PO qd - If needing ... ciab549 #CDI #Cdiff ... #management #treatment ... infectiousdiseases #IDSA #gastroenterology
ABCs of Endoscopic Perforation Management
A - Air by itself, not an adverse event. Control insufflation, ALWAYS
Perforation Management ... IR drains) F - Feeding ... Follow with CT/UGI ... #management #treatment ... #gastroenterology